Doctor Name: | MRS. JENNIFER MARIE GENTA |
NPI Number: | 1093024432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 2266328 |
Business Practice Address: | 260 Merrimac St Newburyport, MA - 019502192 |
Business Phone Number: | 9784997200 |
Business Fax Number: | 9784997288 |
Mailing Address: | 260 Merrimac St, NEWBURYPORT |
State: | MA |
Postal Code: | 019502192 |
Phone Number: | 9784997200 |
Fax Number: | 9784997288 |
NPI Enumeration Date: | 10/04/2010 |
NPI Last Update Date: | 03/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2266328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |